By Jack Cush, MD | 09 August 2018
A study of over 30,000 women and men followed for at least 10 years after an incident fragility fracture demonstrated excess mortality following all proximal and lower leg fractures. Most occurred in the first year and declined thereafter. (Citation source: bit.ly/2vbjQ1R)
Hip fractures had the highest excess mortality (33% higher in men and 20% higher in women) at one year post-fracture. One-year excess mortality was 20-25% after femur or pelvis, 10% following vertebral, 5-10% following humerus, rib or clavicle, and 3% following lower leg fractures.
These data show that mortality is not just limited to hip fractures. It was previously thought that mortality risk following fracture was primarily related to age, hip fractures or developing immobilization complications (e.g., pneumonia, thromoboses) associated with surgery or hospitalization.
Thus a wide variety of fragility fractures may contribute to long-term excess mortality.